Please read carefully to ensure proper and timely processing of your new enrollment
  • Your New Enrollment
    In order for our office to process your new enrollment, you must complete our online enrollment form (link below) with all required documents attached to the online form (if any) within 30-calendar days of your employment. 
     
    To designate beneficiaries to your district-paid life insurance, complete the life insurance form (link below) and submit it to our office at your earliest convenience. 
     
    The enrollment and life insurance forms can be completed and turned in separately. Any incomplete forms cannot be processed. Please be sure to provide all required documents and information.
     
    The elections you make as a new employee will give you coverage beginning the first day of the following month when you are hired.  For example, if you are hired on August 12, 2022, your coverage will begin September 1, 2022.
     
     
    Required Documents
    A copy of the County issued marriage certificate to enroll a spouse.

    A copy of the County issued birth certificate to enroll a child.

    For use by Active SAUSD Employees Only
     
    Use this form to designate or update your district-paid life insurance beneficiaries.
     
    Required Documents
    None
Last Modified on August 1, 2022